Behavioral
Metro Pavia Healthcare Centers
Metro Pavia Healthcare Centers was paid $1.17M by Medicaid between Jan 2018 and Oct 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoMETRO PAVIA HEALTHCARE CENTERS
ARECIBO, PR 00613
ARECIBO, PR 00613
33aNPI1649641820assigned 10/13/2015
33bProvider typeClinical Social Worker
28Total paid$1.17M
24GClaims23,815
24DCodes billed25
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Clinical Social Worker providers in Puerto Rico
Rank by total paid#1 of 33
Median peer was paid$576.31
This provider vs. median2,030×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SOLIVAN, VIVIAN controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 216 | $2K | |
| 2019 | 3,742 | $94K | |
| 2020 | 3,228 | $147K | |
| 2021 | 3,107 | $181K | |
| 2022 | 3,600 | $193K | |
| 2023 | 4,059 | $227K | |
| 2024incomplete | 5,863 | $325K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 7,720 | 6,922 | $427K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 23% | 3,597 | 3,389 | $270K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 16% | 3,922 | 3,749 | $189K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 11% | 2,306 | 2,299 | $134K |
| 11102 | 6.1% | 1,006 | 977 | $72K | |
| 99201 | 4.9% | 1,549 | 1,542 | $57K | |
| 11103 | <1% | 221 | 207 | $10K | |
| 11200 | <1% | 97 | 87 | $7K | |
| 90461 | <1% | 488 | 301 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 685 | 430 | $1K |
| 11201 | <1% | 58 | 50 | $852.93 | |
| 90651 | <1% | 160 | 96 | $436.09 |
13 more codes
| 93000 | <1% | 192 | $420.75 | |
| 90656 | <1% | 96 | $264.00 | |
| 97803 | <1% | 79 | $197.04 | |
| 90734 | <1% | 60 | $176.00 | |
| 90715 | <1% | 40 | $140.00 | |
| 97802 | <1% | 14 | $133.89 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,295 | $55.50 |
| 90670 | <1% | 12 | $48.00 | |
| 90688 | <1% | 12 | $48.00 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 34 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 35 | $0.00 |
| 90677 | 0% | 113 | $0.00 | |
| 90620 | 0% | 24 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSOLIVAN, VIVIAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Integrate Community Health System | Guayama, PR | $525K |
| Metro Pavia Healthcare Centers INC | Carolina, PR | $179K |
| Integrate Community Health System | Aguadilla, PR | $115K |
| Integrate Community Health System | San Juan, PR | $95K |
| Integrate Community Health System | Humacao, PR | $67K |
| Integrate Community Health System | Caguas, PR | $49K |
| Integrate Community Health System | Carolina, PR | $40K |
| Integrate Community Health System | Bayamon, PR | $25K |
| Integrate Community Health System, INC. | Aguadilla, PR | $18K |
| Metro Pavia Healthcare Centers | Ponce, PR | $11K |
| Integrate Community Health System | Bayamon, PR | $5K |
| Metro Pavia Healthcare Center | Arecibo, PR | $3K |
| Integrate Community Health System, INC | Bayamon, PR | $866.58 |
| Integrate Community Health System | Bayamon, PR | $365.40 |
| Integrate Community Health System | Guayama, PR | $209.20 |
| Integrate Community Health System | Hato Rey, PR | $99.00 |
| Metro Pavia Healthcare Centers INC | Carolina, PR | $54.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.